前馈控制干预联合结构式心理干预对恶性肿瘤术后患者情绪状态及生活质量的影响  

Effect of feedforward control intervention combined with structured psychological intervention on emotional state and quality of life in malignant tumors postoperative patients

作　　者：白亚楠 张明科 贾亚南 雷如意 谷玉雷[1] BAI Ya'nan;ZHANG Mingke;JIA Ya'nan;LEI Ruyi;GU Yulei(EICU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院EICU,郑州4500000

出　　处：《癌症进展》2024年第11期1238-1241,1264,共5页Oncology Progress

基　　金：河南省高等学校重点科研项目(22A320052)。

摘　　要：目的 探讨前馈控制干预联合结构式心理干预对恶性肿瘤术后患者情绪状态及生活质量的影响。方法依据干预方法的不同将120例恶性肿瘤术后患者分为干预组(n=55)和对照组(n=65),对照组患者给予结构式心理干预,干预组患者给予前馈控制干预联合结构式心理干预。比较两组患者的术后恢复指标、情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[健康调查简表(SF-36)]、并发症发生情况。结果 干预组患者切口愈合时间、首次排气时间、下床活动时间、术后住院时间均短于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS评分均低于本组干预前,干预组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生理机能、精神健康、社会功能评分均高于本组干预前,干预组患者生理机能、精神健康、社会功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预组患者的并发症总发生率为9.09%,低于对照组患者的26.15%,差异有统计学意义(P﹤0.05)。结论 前馈控制干预联合结构式心理干预能够明显改善恶性肿瘤患者术后恢复指标和生活质量,有效缓解患者的焦虑抑郁情绪,降低并发症发生率。Objective To explore the effect of feedforward control intervention combined with structured psychological intervention on the emotional state and quality of life in malignant tumors postoperative patients.Method A total of120 malignant tumors postoperative patients were divided into intervention group(n=55) and control group(n=65) according to different intervention methods.The control group received structured psychological intervention,while the intervention group received feedforward control intervention combined with structured psychological intervention.The postoperative recovery indicators,emotional states [self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life [the MOS 36-item short form health survey(SF-36)],and incidence of complications were compared between the two groups.Result The incision healing time,first exhaust time,get out of bed time,and postoperative hospital stay time in the intervention group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the SAS and SDS scores of both groups were lower than those before intervention,and the SAS and SDS scores of the intervention group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of physiological function,mental health,and social function of the two groups were higher than those before intervention,and the scores of physiological function,mental health,and social function of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the intervention group was 9.09%,which was lower than 26.15% in the control group,and the difference was statistically significant(P<0.05).Conclusion Feedforward control intervention combined with structured psychological intervention can significantly improve the postoperative recovery indicators and quality of life of malignant tumors

关 键 词：前馈控制干预 结构式心理干预 恶性肿瘤 情绪状态 生活质量 

分 类 号：R730730[医药卫生—肿瘤]